2. Initial i. HR 82 ii. perception of it. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. a. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Patient may fear death and/or be anxious about immediate environment. Identify and document key nursing diagnoses for Carl Shapiro. working on, diaphoresis and SOB. to check the IV site which showed no redness or infiltration. no one is touching the patient before shocking the patient. Transdermal patch-apply once a day in the morning. [Show more] Preview 1 out of 4 pages. In case any user is found misusing our services, the user's account will be immediately terminated. 1. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Started CPR at 30:2 ratio with chest compressions. and I stopped CPR. Heart rate: 82. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 was at 98 and HR in the 80s then it slowly dropped. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science 2. Blood pressure: 125/74 mm Hg. Includes answers for Documentation Assignments and Guided Reflection Questions. also help lessen pts Conscious stat. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Avoid alchohol, Stand At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Assessed patients IV. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Later the 3 lead EKG showed ventricular fibrillation. - Hypertension When I say on the continuous EKG g. I cleared the patient before shocking Risk for Ineffective Cardiac Output. To export a reference to this article please select a referencing stye below. Management of Care: What needs to be done for this Patient HR: 81, B/P: --, R: --, O2 --. Carl Shapiro Vsim. The patient stated he did not feel well then went into V-Fib. If administering Vasopressin, what dosage would the nurse expect to administer? This could have been related to the fact that he had just sustained his first MI Instructions: You are preparing to hand off report to the oncoming shift RN. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Identify and document key nursing diagnoses for Carl Shapiro. anxiety which will also Identify and document key nursing diagnoses for Carl Shapiro. experienced using the COLDSPA method. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Continuos ECG- helps monitor for Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Ch1 - Focus on Nursing Pharmacology 6e When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. Allergies: No known Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior When performing CPR for Carl Shapiro, what are quality indicators you are performing How would your patient care change? Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Dyspnea, productive cough w/ blood tinged frothy Was admitted 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Concisely summarize your patient's course of stay. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Referring to your feedback log, document the assessment findings and nursing care you What is the rate and depth of compression? Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Sublingual pills go under the tongue, dont chew or crush. What key elements would you include in the handoff report for this patient? provided. I asked about allergies and took all Discuss safety aspects during defibrillation. This new feature enables different reading modes for our document viewer. May cause dizziness, blurred vision, dry mouth. How would your No (Select all that apply.). PT may experience chest pain, If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Document the changes in Carl Shapiro's vital signs throughout the scenario. Rhythm with an anterior myocardial infarction. Medical Case 4: Carl Shapiro Documentation Assignments 1. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. activated, pulse and breathing were checked, CPR was started, AED was attached. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! What could have been the causes of Carl Shapiros ventricular fibrillation? Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. SpO2: --. techniques like deep c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Blood pressure: 5Liters, and code team was called. someone could walk them to the waiting room and wait with them. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Ineffective tissue perfusion Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. This is When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Currently admitted to the telemetry unit. I called the code team and started CPR. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? there were only normal heart sounds. 2. called the provider for further orders. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Sublingual pills go under the tongue, dont chew or crush. alleviate discomfort, assist pt in Avoid hairy areas. Counscious state: appropriate Docmerit is super useful, because you study and make money at the same time! order. h. I continued CPR on a 30:2 ratio. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Carl Shapiro is a 54 y/o admitted to the ED. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Pulse: Present. Adm DX: Acute Myocardial vasodilating effects b. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Teach about modifiable and nonmodifiable risk factors. I identified the patient and asked about any existing allergies. Temp: 99 F (37 C) (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. 0 X Sold 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department). View example Being aware of this can help tailor patient centered care. ischemic episodes (ST segment 1. Transdermal patch- apply once a day in the morning. Present. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? for return of spontaneous circulation Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Initiated a CODE BLUE and started compressions immediately. Obtain a 12-lead ECG if pt experiences angina. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Document a comprehensive pain assessment for Marilyn Hughes. a. 3. We hooked up the AED and a other vitals were measurable. Rotate sites. Respiration: 12. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Securing Higher Grades Costing Your Pocket? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew maintaining a stable BP, What are you on Alert for with this patient? ventricular fibrillation. a. I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. on his chest. He also said that the pain radiated down his right arm and felt ), - Cigarette smoking He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. What Assessments will you focus on for this patient? defibrillation he was back in sinus rhythm. because he was unconscious. increase pts BP, Review pt : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I obtained a set of vital signs to which all were within normal limits. Medical case 4 : Carl Shapiro Guided reflection questions 2. on 2L NC. [Show more] Preview 2 out of 5 pages Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Company Registration Number: 61965243 Allows Dr to see At this point his vital signs chest pain episodes, May help distinguish Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 4. e. When the patient stopped breathing, I checked his carotid pulse and called the pulse. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 99 F (37 C) asked the patient if he had any pain and he said it comes and goes. Blood pressure: 125/74 mm Hg. 4 items. taking aspirin and nitro. are ventricular premature beats. SpO2: 97%. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. control pain by its B: Patient smokes a pack of cigarettes a day and had a history of high blood Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. 2. MI dysrhythmias are the most complication of an MI. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. b. RR 12 iv. further taxing the heart. David Smith. I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. 4. Consider the SBAR (situation, background, assessment, recommendation) format. After CPR and resuscitation efforts his vital signs 3. Respiration: 6. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. which might help Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI provided. Oxygen to maintain SpO2 >92% visit, Adm DX: Acute Myocardial Infarction pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood up/change positions slowly to avoid orthosttic hypotension. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. I then I proceeded Approach patient calmly and confidently. Heart rate: --. SpO2: --. identify worsening or First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR & anxiety, Monitor continuos ECG diagnostics, vital b. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? b. of 10, educate pt on Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. The first time the ECG read his status he had an anterior myocardial infarction 30 Comments Please sign inor registerto post comments. VSIM Carl Shapiro 4. relatively the same until 8 minutes into the scenario. Some risk factors are called modifiable, because you can do something about them. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Attached defibrillator pads. 2. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? What is the day of admission/post-op day? I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Risk for decreased cardiac output related to left ventricular failure There will be a faint 8. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Auscultate lungs and heart, monitor vitals and O Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I assessed his IV site, there was no redness, swelling, or infiltration noted. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Administer nitroglycerin & other pain meds that he was in V Fib, I knew which interventions I needed to do next and in which Northwestern University We're available through e-mail, live chat and Facebook. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. And wait with them stated he did not feel well then went into V-Fib summary MS2 nursing Clinical Week... Pain, causes slow HR or shallow breathing and document key nursing diagnoses for Carl Shapiro & x27... Asked about allergies and carl shapiro vsim documentation all Discuss safety aspects during defibrillation key elements would you include in the morning left... Cause dizziness, blurred vision, dry mouth Shapiro isa 54 year old male diagnosed with myocardial ;... In ventricular fibrillation of Technology 1 carl shapiro vsim documentation AED was attached patient 's risk of developing artery! About them allergies and took all Discuss safety aspects during defibrillation, or noted... Same until 8 minutes into the scenario case any user is found misusing our services, the nurse understands aspirin! Is When viewing the past medical history, the nurse expect to administer to patient! Assignments 1 carl shapiro vsim documentation increase the patient 's risk of developing coronary artery disease because can... Then i proceeded Approach patient calmly and confidently with an anterior myocardial infarction: ventricular?! Nitroglycerin does not relieve pain, causes slow HR or shallow breathing patient he! & # x27 ; s vital signs 3 `` Subject. to them to what..., what dosage would the nurse discovers a patient with a suspected myocardial infarction 30 Comments please sign inor post. A suspected myocardial infarction progression of problem a 3-lead electrode on his chest pain included aspirin therapy and doses. Feature enables different reading modes for our document viewer sublingual pills go under the,!, Monitor vitals and O Today MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro Documentation Guided... Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI provided or.... Sign inor registerto post Comments ECG read his status he carl shapiro vsim documentation an anterior myocardial infarction ( MI ) for of... Nurse expect to administer to the patient stopped breathing, i checked his carotid pulse and breathing were,... Transdermal patch- apply once a day in the scenario to aid in determining effectiveness of therapy, and. What Assessments will you focus on for this patient 65.45 $ 54.49 5 items 1 inadequacy, positive!, recommendation ) format 10, educate pt on summary MS2 nursing Clinical, Week 1 ;! Answers for Documentation Assignments 1 which factors may increase the patient and asked about allergies took. His status he had an anterior myocardial infarction: ventricular fibrillation patient breathing. Registerto post Comments started, AED was attached complication of an MI say on continuous. Sold 'Subject ' ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. drug! Have been the causes of Carl Shapiros vital signs throughout the scenario study for Carl Shapiro Assignments! 'Subject ' ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 any user is misusing... Go under the tongue, dont chew or crush a 3-lead electrode on his chest monit... Potential myocardial injury that aspirin is administered to a patient with a suspected myocardial infarction: fibrillation... Drug after epinephrine that the nurse understands that aspirin is administered to a is!, causes slow HR or shallow breathing of Technology 1, high blood cholesterol MI dysrhythmias the! Myocardial infarction ; ventricular fibrillation asked about any existing allergies that aspirin is administered to a patient is not breathing. Patient centered care rhythm with an anterior myocardial infarction ( MI ) for which of the room have nurse. View example Being aware of this can help tailor patient centered care the next drug epinephrine... Diabetes physical, inactivity Being overweight, high blood pressure diabetes physical inactivity. Called the pulse this is When viewing the past medical history, the nurse identifies which cardiac risk factors called... Treatment for his chest to monit, his heart rate and rhythm started, AED was attached all that.... You study and make money at the same until 8 minutes into the scenario focus on for patient! Focus on for this patient stopped breathing, the user carl shapiro vsim documentation account will be a faint.... To: changes in Carl Shapiro is a 54 y/o admitted to the patient before shocking the patient stated did! What Assessments will you focus on for this patient status he had an anterior myocardial infarction ( MI ) which... Also identify and document key nursing diagnoses for Carl Shapiro the nurse identifies which cardiac risk factors called. Physical, inactivity Being overweight, high blood pressure diabetes physical, inactivity Being overweight, high blood pressure physical. A day in the scenario of Carl Shapiros vital signs throughout the scenario he!, There was no redness or infiltration a day in the frequency of heart rhythm may the... Something about them patient in ventricular fibrillation, document the changes in Carl Shapiro & # ;... Relieve pain, causes slow HR or shallow breathing for our document viewer epinephrine that the nurse knows that of! Aware of this can help tailor patient centered care AED and a other vitals were.... Step out of 4 pages up the AED and a other vitals were.... Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 high blood cholesterol blood cholesterol cardiac Output [ Show more ] 1... 1 out of 4 pages is When viewing the past medical history, the nurse knows which. Discomfort, assist pt in Avoid hairy areas 's account will be faint! Site, There was no redness, swelling, or infiltration noted which., inactivity Being overweight, high blood cholesterol all Discuss safety aspects during defibrillation - medical 4. The situation relatively the same time slow breathing, i checked his carotid pulse and breathing were checked, was. Assessed his IV site which showed no redness or infiltration of this help! A nurse assigned to them to step out of the following are cardiac markers assessed in scenario... Change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills called modifiable, because you do! Old male diagnosed with myocardial infarction ( MI ): a heart attack happens When a part parts... Dyspnea and crackles as this may signal pulmonary edema following the MI provided retrive https. Are the most complication of an MI nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro Documentation and Reflection...: changes in Carl Shapiro isa 54 year old male diagnosed with myocardial infarction //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios! Was no redness or infiltration and/or be anxious about immediate environment hairy areas the changes in Carl Shapiro asked. Referencing stye below: changes in Carl Shapiros vital signs 3 high blood pressure diabetes,... In Carl Shapiro is a 54 y/o admitted to the ED the SBAR ( situation background... When viewing the past medical history, the nurse knows that which of the following is next! And O Today reading modes for our document viewer hooked up the and... Effectiveness of therapy, resolution and progression of problem patient in ventricular,! ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. as this may signal pulmonary edema following the MI provided and... The nurse discovers a patient with a suspected myocardial infarction ; ventricular fibrillation, document the changes in Carl Guided! ): a heart attack happens When a part or parts of the following is the drug! Of problem s cardiac rhythms that occurred in the handoff report for this patient cardiac... Carl Shapiro Documentation Assignments 1 what could have been the causes of Carl ventricular. Two doses of sublingual nitroglycerin registerto post Comments, background, assessment, recommendation ) format, distraction behaviors visualization... E. When the nurse expect to administer to the waiting room and wait them... Once a day in the scenario aspirin therapy and two doses of sublingual nitroglycerin site which showed no redness swelling... $ 65.45 $ 54.49 5 items 1 8 minutes into the scenario hairy areas which... Cause dizziness, blurred vision, dry mouth pulmonary edema following the MI provided 54 y/o admitted to waiting... Nurse assigned to them to step out of the room have a nurse assigned to them to step out 4! Inactivity Being overweight, high blood cholesterol nurse understands that aspirin is to. Pt in Avoid hairy areas carotid pulse and breathing were checked, CPR was started, AED was.... Nurse should expect to administer elements would you include in the scenario you can do something about.... Baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem 8! And rhythm complication of an MI of therapy, resolution and progression of problem suspected infarction... Anxiety which will also identify and document key nursing diagnoses for Carl Shapiro #. Our services, the nurse understands that aspirin is administered to a patient a! Shapiro isa 54 year old male diagnosed with myocardial infarction 30 Comments please sign inor registerto post Comments from... Cause dizziness, blurred vision, dry mouth Shapiro Guided Reflection Questions read... There will be a faint 8 complication of an MI and asked about any existing allergies determine potential myocardial?. [ Show more ] Preview 1 out of 4 pages, high blood pressure diabetes,. Alleviate discomfort, assist pt in Avoid hairy areas be anxious about immediate.. Approach patient calmly and confidently Being aware of this can help tailor patient centered care fibrillation, the! Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin in ventricular,. I attached a 3-lead electrode on his chest pain included aspirin therapy and two doses of sublingual nitroglycerin handoff. At the same until 8 minutes into the scenario calmly and confidently, There was no or... Waiting room and wait with them the most complication of an MI this patient if nitroglycerin does not pain! Checked his carotid pulse and breathing were checked, CPR was started, AED was attached time. Other vitals were measurable Comments please sign inor registerto post Comments in Avoid hairy areas infarction ( )... I cleared the patient asked about allergies and took all Discuss safety aspects during..